膀胱癌膀胱全切术后早期并发症及危险因素分析(1)
【摘要】 目的：探讨膀胱癌膀胱全切术后早期并发症及相关危险因素。方法：选取2012年
5月-2015年8月本院收治的163例膀胱癌患者的临床资料进行回顾性分析，均接受全膀胱根治性切除术，统计分析患者在术后3个月内出现的早期并发症，同时采用Logistic回归统计方法对早期并发症的相关因素进行分析。结果：40.49%(66/163)患者出现并发症，按Clavien分级包括I级30.30%(20/66)，Ⅱ级46.97%(31/66)，Ⅲ级15.15%(10/66)，Ⅳ级6.06%(4/66)，Ⅴ级1.52%(1/66)。并发症中以不全性肠梗阻发生率最高，为21.21%(14/66)，根据并发症类型分析，胃肠道相关并发症的发生率最高为43.94%(29/66)。Logistic回归分析表明年龄(P=0.000)、ASA分级(P=0.018)、手术时间(P=0.007)、术中输血量(P=0.009)、糖尿病(P=0.019)与早期并发症显著相关。结论：膀胱癌膀胱全切术后患者较易引起一系列的早期并发症，但并发症严重程度相对集中于轻度，重度并发症发生率低。年龄、ASA分级、术中输血量、手术时间及糖尿病是术后早期并发症的危险因素，这提示临床应从以上方面入手加强预防。
【关键词】 膀胱癌； 膀胱全切术； 早期并发症； 危险因素
Analysis of Early Complications and Risk Factors in Patients with Bladder Cancer after Total Resection of the Bladder/WANG Zhan-cheng，ZHANG Bo，MA Yong，et al.//Medical Innovation of China，2016，13(22)：118-120
【Abstract】 Objective：To investigate the early postoperative complications and related risk factors of bladder cancer after total resection of bladder cancer.Method：From May 2012 to August 2015，the clinical data of 163 patients with bladder cancer treated in our hospital were retrospectively analyzed，all patients underwent radical resection of bladder，patients with early complications within 3 months after the operation were statistically analyzed，Logistic regression analysis was used to analyze the related factors of early complications.Result：40.49%(66/163) patients with complications，according to Clavien classification including grade I 30.30%(20/66)，grade Ⅱ 46.97%(31/66)，grade Ⅲ 15.15%(10/66)，grade Ⅳ6.06%(4/66)，grade V 1.52%(1/66).Among the complications，the incidence of incomplete intestinal obstruction was the highest，which was 21.21%(14/66).According to the types of complications，the incidence of gastrointestinal complications was the highest，which was 43.94%(29/66).Logistic regression analysis showed that age(P=0.000)，ASA grade(P=0.018)，operation time(P=0.007)，intraoperative blood transfusion volume(P=0.009) and diabetes(P=0.019) were significantly associated with early complications.Conclusion：The postoperative patients with bladder cancer bladder easily cause a series of early complications，but severity complication is relatively concentrated in the mild and severe complication rates is low.Age，ASA sizing，intraoperative blood transfusion volume，operation time and diabetes are the risk factors for early postoperative complications，the prompt clinical should begin from the above aspects to strengthen prevention.
【Key words】 Bladder cancer； Radical cystectomy； Early complications； Risk factors, 百拇医药(王站成 张波 马勇 苗发陈)
5月-2015年8月本院收治的163例膀胱癌患者的临床资料进行回顾性分析，均接受全膀胱根治性切除术，统计分析患者在术后3个月内出现的早期并发症，同时采用Logistic回归统计方法对早期并发症的相关因素进行分析。结果：40.49%(66/163)患者出现并发症，按Clavien分级包括I级30.30%(20/66)，Ⅱ级46.97%(31/66)，Ⅲ级15.15%(10/66)，Ⅳ级6.06%(4/66)，Ⅴ级1.52%(1/66)。并发症中以不全性肠梗阻发生率最高，为21.21%(14/66)，根据并发症类型分析，胃肠道相关并发症的发生率最高为43.94%(29/66)。Logistic回归分析表明年龄(P=0.000)、ASA分级(P=0.018)、手术时间(P=0.007)、术中输血量(P=0.009)、糖尿病(P=0.019)与早期并发症显著相关。结论：膀胱癌膀胱全切术后患者较易引起一系列的早期并发症，但并发症严重程度相对集中于轻度，重度并发症发生率低。年龄、ASA分级、术中输血量、手术时间及糖尿病是术后早期并发症的危险因素，这提示临床应从以上方面入手加强预防。
【关键词】 膀胱癌； 膀胱全切术； 早期并发症； 危险因素
Analysis of Early Complications and Risk Factors in Patients with Bladder Cancer after Total Resection of the Bladder/WANG Zhan-cheng，ZHANG Bo，MA Yong，et al.//Medical Innovation of China，2016，13(22)：118-120
【Abstract】 Objective：To investigate the early postoperative complications and related risk factors of bladder cancer after total resection of bladder cancer.Method：From May 2012 to August 2015，the clinical data of 163 patients with bladder cancer treated in our hospital were retrospectively analyzed，all patients underwent radical resection of bladder，patients with early complications within 3 months after the operation were statistically analyzed，Logistic regression analysis was used to analyze the related factors of early complications.Result：40.49%(66/163) patients with complications，according to Clavien classification including grade I 30.30%(20/66)，grade Ⅱ 46.97%(31/66)，grade Ⅲ 15.15%(10/66)，grade Ⅳ6.06%(4/66)，grade V 1.52%(1/66).Among the complications，the incidence of incomplete intestinal obstruction was the highest，which was 21.21%(14/66).According to the types of complications，the incidence of gastrointestinal complications was the highest，which was 43.94%(29/66).Logistic regression analysis showed that age(P=0.000)，ASA grade(P=0.018)，operation time(P=0.007)，intraoperative blood transfusion volume(P=0.009) and diabetes(P=0.019) were significantly associated with early complications.Conclusion：The postoperative patients with bladder cancer bladder easily cause a series of early complications，but severity complication is relatively concentrated in the mild and severe complication rates is low.Age，ASA sizing，intraoperative blood transfusion volume，operation time and diabetes are the risk factors for early postoperative complications，the prompt clinical should begin from the above aspects to strengthen prevention.
【Key words】 Bladder cancer； Radical cystectomy； Early complications； Risk factors, 百拇医药(王站成 张波 马勇 苗发陈)